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Individual

DR. MARK ROBERT GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
790 CHURCH ST NE, STE 400, MARIETTA, GA 30060-7282
(770) 952-8899
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(855) 871-1526
(855) 277-8543

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
066042
GA

Other

Enumeration date
06/24/2009
Last updated
07/06/2022
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